Kineticare Rehab Services P.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

008308 Issued in TX

Legal business name

KINETICARE REHAB SERVICES P.C.

Doing business as

Rehab at Home Healthcare Services

Practice address

2301 W Lamar Blvd
Arlington, TX 76012-5669

Phone

(817) 469-9756

Fax

(817) 469-9758

NPI assigned

Jan 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maria Victoria Hart, RN

Title

Don, Alternate Administrator

Phone

(817) 469-9756

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rehab at Home Healthcare Services Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 679281

Legal name

KINETICARE REHAB SERVICES P.C.

Doing business as

REHAB AT HOME HEALTHCARE SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 5, 2003

Last certification

Aug 20, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 30, 1995 in TX

Enrollment address

2301 W Lamar Blvd
Arlington, TX 76012-5669
HHA Branch

Listed as

Rehab at Home Healthcare ServicesCCN 679281 · All quality measures

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Jun 5, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Marie Villalon, PT, DPT

  • Physical Therapist
  • Arlington, TX
  • NPI 1932805835
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Gustavo Horacio Day, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1538239173

  Home health agency

  Care Compare affiliation
• John L Jay, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Dallas, TX
  • NPI 1033170196

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1609933373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W LAMAR BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760125669",
            "telephone_number": "817-469-9756",
            "fax_number": "817-469-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W LAMAR BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760125669",
            "telephone_number": "817-469-9756",
            "fax_number": "817-469-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETICARE REHAB SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "DON, ALTERNATE ADMINISTRATOR",
        "authorized_official_telephone_number": "817-469-9756",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170871101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab at Home Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suyeon Kim
• Yana Kim
• Kimberly Udell D.O., P.a.
• Kind Loving Care, LLC
• Kinetic Balance Therapeutic Massage LLP
• Colleen King
• Illya King, L.V.N.
• Jeff Alan King, D.C.
• Lillian Kenani King
• Mary King

• Home Health Agency in Arlington, TX
• Providers in Arlington, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.